Bowel cleansing is one of the most important parameters included in the evaluation of colonoscopy quality. The available evidence suggests that inadequate bowel preparation reduces the diagnostic yield of colorectal neoplasia and increases post-colonoscopy colorectal cancer risk. Nowadays, up to 30% of patients referred for colonoscopy have a poor bowel cleansing. Recently, several studies have analyzed the risk factors for inadequate bowel cleansing as well as the strategies to optimize bowel preparation. In this review, we have focused on summarizing the available evidence in this field.
Keywords: bowel cleansing; improve bowel cleansing; inadequate bowel preparation; quality of colonoscopy; risk factors of bowel cleansing.
Copyright © 2019 Hernández, Gimeno-García and Quintero.
Strategies to Optimise the Quality of Bowel CleansingG Hernández et al. Gastroenterol Hepatol 42 (5), 326-338. PMID 31027972. - ReviewColonoscopy is the gold standard procedure for detecting neoplastic lesions of the colon and its efficiency is closely linked to the quality of the procedure. Adequate bo …
Factors Related to Bowel Cleansing Failure Before Colonoscopy: Results of the PACOME StudyG Hautefeuille et al. United European Gastroenterol J 2 (1), 22-9. PMID 24918005.Factors associated with bowel cleansing failure were incomplete intake of the preparation, constipation, and treatment with psychotropic drugs. Interventions to reduce po …
[Bowel Preparation : What's New ?]H Romdhane et al. Tunis Med 90 (10), 676-9. PMID 23096505. - ReviewA better understanding of terms of bowel preparation and the factors influencing the degree of preparation improve the diagnostic efficacy of colonoscopy especially in th …
Update on Bowel Preparation for ColonoscopyCC Rutherford et al. Curr Treat Options Gastroenterol 16 (1), 165-181. PMID 29404921. - ReviewWhile the original large-volume polyethylene glycol preparations are still commonly used, several lower volume regimens are widely available and selected based on provide …
Determinants of Bowel Preparation Quality and Its Association With Adenoma Detection: A Prospective Colonoscopy StudyMC Wong et al. Medicine (Baltimore) 95 (2), e2251. PMID 26765402.The predictors of poor bowel preparation in colorectal cancer screening participants have not been adequately studied, and the association between the quality of bowel pr …